[1]胡蓉蓉,刘海燕,刘兰萍,等.加速康复外科在急腹症救治中的应用价值[J].郑州大学学报(医学版),2015,(03):426-429.
 HU Rongrong,LIU Haiyan,LIU Lanping,et al.Value of fast track surgery in treatment of acute abdominal disease[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2015,(03):426-429.
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加速康复外科在急腹症救治中的应用价值()
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2015年03期
页码:
426-429
栏目:
应用研究
出版日期:
2015-05-20

文章信息/Info

Title:
Value of fast track surgery in treatment of acute abdominal disease
作者:
胡蓉蓉刘海燕刘兰萍郭贯成王万鹏曹建良
郑州大学第一附属医院急救中心急诊外科 郑州 450052
Author(s):
HU RongrongLIU HaiyanLIU LanpingGUO GuanchengWANG WanpengCAO Jianliang
Department of Emergency Surgery, Emergency Care Center, the First Affiliated Hospital, Zhengzhou University,Zhengzhou 450052
关键词:
加速康复外科急腹症围手术期
Keywords:
fast track surgeryacute abdominal diseaseperioperative
分类号:
R656.1
文献标志码:
A
摘要:
目的:评价加速康复外科(FTS)理念在急腹症救治过程中的应用价值。方法:按照连续采样的方法收集因急腹症急诊入院并行急诊手术治疗的患者,其中接受FTS 253例,传统手术(CTS)197例。比较两组患者的相关生化指标和临床指标。结果:两组患者疾病构成差异无统计学意义(χ2=2.530,P=0.642),性别构成、年龄差异亦无统计学意义(P>0.05)。与CTS组比较,FTS组患者术后血浆血浆C反应蛋白及前白蛋白水平明显改善(P<0.05),术后肠功能恢复时间缩短,术后首次下床活动、首次进食时间提前,术后并发症发生率降低,住院时间缩短,住院费用减少(P<0.05),术后WHO疼痛分级降低(P<0.05)。 结论:FTS应用于急腹症救治的围手术期处理安全、有效。
Abstract:
To investigate the application value of fast track surgery(FTS) in treatment of acute abdominal disease. Methods: A total of 450 patients with acute abdominal disease were collected, 253 in FTS group and 197 in conservative treatment surgery(CTS) group.Biochemical and clinical markers of the 2 groups were compared. Results: There were no significant differences in disease composition, age or gender composition between the 2 groups (P>0.05). While compared with CTS group, FTS group had lower plasma CRP level, higher PA level, complication rate and hospital cost, and a shorter time of bowel function recovery, first postoperative ingress and hospital stay, and a lower WHO pain rating scale(P<0.05). Conclusion: FTS is safe and effective during perioperative treatment for acute abdominal disease.

参考文献/References:

[1]Donohoe CL,Nguyen M,Cook J,et al.Fasttrack protocols in colorectal surgery[J].Surgeon,2011,9(2):95$
[2]Magheli A,Knoll N,Lein M,et al.Impact of fasttrack postoperative care on intestinal function, pain, and length of hospital stay after laparoscopic radical prostatectomy[J].J Endourol,2011,25(7):1143$
[3]Otte KS,Husted H,Orsnes T,et al.Bilateral simultaneous total hip arthroplasty in a fast track setting[J].Hip Int,2011,21(3):336$
[4]Wilmore DW,Kehlet H.Management of patients in fast track surgery[J].BMJ,2001,322(7284):473$
[5]余春,毛兴龙,林水泉,等.加速康复外科理念在腹腔镜上消化道穿孔修补术中的应用[J].肠内与肠外营养,2013,20(3):139$
[6]李强,谢经武,李斌,等.加速康复外科理念在腹腔镜阑尾切除术中的应用体会[J].腹腔镜外科杂志,2013,18(12):944$
[7]朱胜利,蔡珍福.加速康复外科理念在小切口胆囊切除术中的应用[J].肝胆胰外科杂志,2011,23(6):497$
[8]Hansen TK,Thiel S,Wouters PJ,et al.Intensive insulin therapy exerts antiinflammatory effects in critically ill patients and counteracts the adverse effect of low mannosebinding lectin levels[J].J Clin Endocrinol Metab,2003,88(3):1082$
[9]Van den Berghe G,Wouters PJ,Bouillon R,et al.Intensive insulin therapy in critically ill patients[J].N Engl J Med,2001,345(19):1359$
[10]李宁.加速康复外科治疗中的围手术期营养支持[J].肠内与肠外营养,2008,15(2):65$
[11]李民,李幼生,李宁,等.加速康复外科与围手术期液体治疗[J].实用临床医药杂志,2007,11(9):4

备注/Memo

备注/Memo:
通信作者,女,1963年8月生,本科,主任医师,研究方向:急腹症,Email:15538181265@163.com
更新日期/Last Update: 1900-01-01